Question

NURSING

SITUATION # 2
Nurse Torres carried out an order of 60 u of regular IV insulin to patient X. The medication was administered to the correct patient. However, he manifested significant hypoglycemia when presenting a Dxt of <28 mg / dL, so he had to immediately manage and administer 2 vials of dextrose at 50% plus place a D5W% drip down to 60 mL / hr. The patient was placed in the Intensive Unit under observation. When the order was revised, it did not say 60 u IV but 6 u of subcutaneous regular insulin, the abbreviation of units was understood as a zero. The nurse assumed that the order was correct because it had been given by the endocrinologist.

1. What error do you identify in the situation?
2. Which of the correct medication administrations were not carried out with the patient?
3. Which of the National Patient Safety Goals was not met?
4. What information does the nurse need to know before administering the ordered medication to the patient?
5. How would you have acted in this situation?
6. What ethical-legal repercussions could arise in this case?

Answer 1

ANSWER :

1.Medication error was identified in this situation.

2.In this situation ,

• Correct medication administrations " Right dose " and " Right route" were not carried out with the patient.
• 60 units of regular insulin given IV , instead of giving 6units subcutaneous regular insulin.

3.The National safety goal which was not met :

• Use medication safely or improve the safety of using medication.

4.The information nurse should know before administering the medication:

• Right patient
• Right drug
• Right dose
• Right time
• Right route
• Right documentation.

Before administering insulin ,its type ,dose and route should be compared with the order and cross checked by another nurse.